Odd Fellow Rebekah Home Association Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2544 Issued in WI

Legal business name

ODD FELLOW REBEKAH HOME ASSOCIATION INC

Practice address

1207 S Jackson St
Green Bay, WI 54301-3037

Phone

(920) 593-1640

Fax

(920) 435-5031

NPI assigned

Jan 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dan-a J Kohn, NHA

Title

Ceo

Phone

(920) 593-1640

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Skilled nursing facility certification: CCN 525559

Legal name

ODD FELLOW REBEKAH HOME ASSOCIATION INC

Doing business as

ODD FELLOW HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1995

Last certification

Mar 12, 2024

Beds

88

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Jan 1, 1938 in WI

Enrollment address

1229 S Jackson St
Green Bay, WI 54301-3037

Nursing home name

ODD FELLOW HOME

Listed as

Odd Fellow HomeCCN 525559

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jan 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8858.7 residents per day on average

Penalties (3 years)

18Fines totaling $93,034

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Taylor Elaine Bachaus, MD

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1942838685

  Nursing home

  Care Compare affiliation
• Lorraine Helena Mary Jackson, MD

  • Internal Medicine Physician
  • Green Bay, WI
  • NPI 1447348479

  Nursing home

  Care Compare affiliation
• Scott Robert Schinschke, D.O.

  • Family Medicine Physician
  • Pulaski, WI
  • NPI 1407951130

  Nursing home

  Care Compare affiliation
• Tina M Schmidt, PA

  • Physician Assistant
  • Algoma, WI
  • NPI 1033194261

  Nursing home

  Care Compare affiliation
• Sheila Waldrop Thiel, MD

  • Internal Medicine Physician
  • De Pere, WI
  • NPI 1265452296

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1124006739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S JACKSON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013037",
            "telephone_number": "920-593-1640",
            "fax_number": "920-435-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S JACKSON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013037",
            "telephone_number": "920-593-1640",
            "fax_number": "920-435-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODD FELLOW REBEKAH HOME ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "DAN-A",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-593-1640",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20151600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylene Elizabeth Occhietti, LICSW
• Occupational Health Centers of the Southwest P.a.
• Occupational Health Centers of the Southwest P.a.
• Occupational Health Services Inc.
• Oconto Physical Therapy, LLC
• Kayla B Odykirk
• James P Offord, MD
• Enyinna Edwin Ogbonna, CRNA
• Ohana Home Care Agency, LLC
• Lindsey Oimoen, CRNA

• Skilled Nursing Facility in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.